Evans, Jeffrey

Evans, Jeffrey is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Evans, Jeffrey can be contacted via phone (509) 766-1301.

Contact Information

Primary practice address
801 E Wheeler Rd Moses Lake WA 98837-1820
Phone: (509) 766-1301
Fax: (509) 766-1306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP00001301 Washington

Profile Details

NPI number 1255462370
LBN Legal business name Evans, Jeffrey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Feb 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255462370 NPPES
Washington Other 218659 LIWA
Washington Other 3075EV LIWA
Washington MEDICAID 8126237 LIWA

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